NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC· WILMINGTON, NC
ProviderCMS 2/5
2131 S 17TH ST, WILMINGTON, NC 28401
Procedures offered
956 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $22 | $28 | $34 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $27 | $28 | $33 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $45 | $45 | $45 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $40 | $48 | $64 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $35 | $44 | $54 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $10 | $26 | $43 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $8 | $16 | $27 |
| Immunization admin injection single CPT 90471 • Preventive Care | $10 | $19 | $43 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $10 | $15 | $33 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $209 | $261 | $329 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $258 | $265 | $295 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $88 | $94 | $117 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $10 | $18 | $26 |
| MMR vaccine CPT 90707 • Preventive Care | $72 | $87 | $97 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $38 | $45 | $58 |
| Varicella vaccine CPT 90716 • Preventive Care | $82 | $130 | $192 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $13 | $74 | $134 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $28 | $136 | $216 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $99 | $164 | $265 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $111 | $157 | $192 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $108 | $166 | $235 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $131 | $173 | $240 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $118 | $192 | $283 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $136 | $206 | $298 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $148 | $239 | $323 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $89 | $143 | $239 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $95 | $141 | $207 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $95 | $138 | $207 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $112 | $161 | $249 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $107 | $170 | $232 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $113 | $180 | $302 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $50 | $166 | $200 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $8 | $39 | $71 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $166 | $1,833 | $5,281 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $189 | $2,138 | $5,281 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $338 | $1,483 | $5,281 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $166 | $245 | $323 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $130 | $267 | $403 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $87 | $143 | $225 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $113 | $1,276 | $5,282 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $74 | $637 | $1,725 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $30 | $836 | $3,515 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $30 | $600 | $1,725 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $56 | $615 | $1,725 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,268 | $1,960 | $3,920 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $194 | $194 | $194 |
| Spirometry CPT 94010 • Pulmonology | $24 | $37 | $80 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $27 | $53 | $151 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $60 | $64 | $77 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $14 | $31 | $37 |